Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.57 / $56.57 / $56.57	Facility	26	$56.57	$56.57	$56.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $225.26 / $225.26	Professional		$191.16	$225.26	$225.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.56 / $491.02 / $613.77	Professional		$401.56	$491.02	$613.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.21 / $328.67 / $513.86	Professional		$201.21	$328.67	$513.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $444.16 / $513.86 / $628.46	Professional		$444.16	$513.86	$628.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $371.23 / $406.33	Professional		$278.45	$371.23	$406.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $93.05 / $106.09	Professional	26	$70.37	$93.05	$106.09
United Facility/Professional Professional Modifier Low / Median / High Price $254.05 / $303.43 / $465.96	Professional		$254.05	$303.43	$465.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $421.20 / $421.20	Professional		$358.00	$421.20	$421.20